title: [The importance of Dysphagia management during the peri-operative period to home elderly care].
abstract: Dysphagia is usually a major problem for the elderly to go home after a surgical treatment for the bone fracture of the thigh bone cervix or trochanter part in the leg. We analyzed each clinical course with regard to a change of the oral intake and the nutritional status, the activity of daily living(ADL)and a nutritional management and the place after the patient was discharged. According to our results, about 20% of the patients among those surgical cases were pointed with dysphagia, and there were many cases that ADL was ultimately gotten worse. We took care of disphagia by doing a best practice of changing in feedings and deglutition function. However, some of the patients with the problem finally moved to another elderly health care institute against their primary wishes to go home. Furthermore, 55% of the disphagia patients became dementia. It seems that dementia might be a high risk factor of disphagia. We should do more better job for managing disphargia during a peri-operative period just after admission.
authors.affiliation: Nutrition Support Team(NST), Minoh City Hospital.
authors.forename: Seiko
authors.initials: S
authors.lastname: Doi
authors.forename: Akiko
authors.initials: A
authors.lastname: Iwai
authors.forename: Saori
authors.initials: S
authors.lastname: Mito
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Utsumi
authors.forename: Keiji
authors.initials: K
authors.lastname: Shinoki
authors.forename: Chisako
authors.initials: C
authors.lastname: Nakashita
authors.forename: Akiko
authors.initials: A
authors.lastname: Hata
authors.forename: Takeshi
authors.initials: T
authors.lastname: Ibata
authors.forename: Ryutaro
authors.initials: R
authors.lastname: Komuro
authors.forename: Andshohei
authors.initials: A
authors.lastname: Iijima
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003680:Deglutition Disorders / Q000628:therapy*; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male